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Marilyn Moon, PhD; John Holahan, PhD

JAMA. 1992;268(12):1588-1594.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

ENTHUSIASM for tackling problems with health care reform is not limited to the federal level. The slow pace of decision making at the federal level and the sense of crisis often surrounding states' Medicaid programs have helped to spur states into making their own plans. Several states already have implemented or sought to implement major changes in their health care systems. A number of other states have engaged in serious discussions about policy changes that could result in major reform of their health care systems.

These options range from incremental approaches that tackle only a part of the issue to full-fledged proposals to put all health care under a single system at the state level. For example, the state of Hawaii has an employer mandate that has been in place since 1974. Oregon has captured the attention of many for one aspect of its health care plan—the explicit rationing that . . . [Full Text PDF of this Article]

Author Affiliations
From The Urban Institute, Washington, DC.

Footnotes
Reprint requests to The Urban Institute, 2100 M St NW, Washington, DC 20037 (Dr Moon).

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